The effect of job-stress on patient-safety in hospitals affiliated to Alborz University of Medical Sciences, Iran
DOI:
https://doi.org/10.22122/cdj.v6i4.367Keywords:
Job-Stress, Patient-Safety, HospitalsAbstract
BACKGROUND: Patient-safety is one of the main pillars of healthcare. Given that nurses are the largest group associated with patients, so with safety harms, job-stress among then can reduce patient-safety in hospitals. The aim of this article was to investigate the effects of job-stress on patient-safety in hospitals affiliated to Alborz University of Medical Sciences, Karaj, Iran.
METHODS: In this cross-sectional study, data gathering tools consisted of a reliable researcher-made job-stress questionnaire, and a patient-safety checklist. 320 nurses in hospitals affiliated to Alborz University of Medical Sciences, who were selected using simple randomized sampling method, completed the questionnaire, and the checklist was filled by the researcher. Data were analyzed at two levels of inferential and descriptive statistics.
RESULTS: Job-stress and also patient-safety were at average levels in studied hospitals. Among the demographic factors, only the relationship between job-stress and marital status was statistically significant (P < 0.050). There were no significant relationships between different aspects of job-stress among nurses and patient-safety.
CONCLUSION: According to average level of job-stress among studied nurses, the quality of offered services would decrease and patient-safety would become undermined, if no action take place to reduce the job-stress among them. Therefore, it is necessary to increase nurses’ physical, psychological, and social health to increase patient-safety.
References
Goodman GR. A fragmented patient safety concept: The structure and culture of safety management in healthcare. Hosp Top 2003; 81(2): 22-9.
Donaldson MS, Corrigan JM, Kohn LT. To err is human: Building a safer health system. Washington, DC: National Academies Press; 2000.
Nash DB, Goldfarb NI. The Quality Solution: The stakeholder's guide to improving health Care. Burlington, MA: Jones & Bartlett Learning; 2006.
Pizzi LT, Goldfarb NI, Nash DB. Promoting a culture of safety. In: Agency for Healthcare Research and Quality, Editor. Making health care safer: A critical analysis of patient safety practices. Oakland, CA: Agency for Healthcare Research and Quality, University of California; 2001. p. 448-56.
Kristensen S, Bartels P. Use of patient safety culture instruments and recommendations. Aarhus N, Denmark: European Society for Quality in Healthcare; 2010.
Linden W. Stress management: From basic science to better practice. Thousand Oaks, CA: SAGE; 2004.
Hemmati Maslakpak M, Habib Zadeh H, Khalil Zadeh H. Managers and nurses function of safe patients' care from the nurses Perspective. J Health Promot Manag 2012; 1(2): 7-14. [In Persian].
Yazdi Moghadam H, Heydari A. Study of the quality of life of nurses in Sabzevar hospitals in 2005-2006. J Sabzevar Univ Med Sci 2009; 16(1): 50-6. [In Persian].
Ravaghi H, Barati Marnani A, Hosseini AF, Takbiri A. The Relationship between Health Care Providers' Perceptions of Patient Safety Culture and Patients' Perceptions of Medical Errors in Teaching Hospitals in Tehran: 2011. J Health Adm 2012; 15(48): 57-68. [In Persian].
Sabahi Beedgoli M, Shahri S, Kebriaee A, Seyedi HR, Sarafraz Z. Patient safety climate in medical centers of Kashan. J Health Promot Manag 2012; 1(1): 62-72. [In Persian].
Shahraki Vahed A, Mardani Hamuleh M. Assessment of the relationship between mental health and job stress among nurses. J Jahrom Univ Med Sci 2010; 8(3): 34-40. [In Persian].
Mortaghi Ghasemi M, Ghahremani Z, Vahedian
Azimi A, Ghorbani F. Nurse’s job stress in therapeutic educational centers in Zanjan. Journal of Research Development in Nursing & Midwifery 2011; 8(1): 42-51. [In Persian].
Bahrami A, Akbari H, Mousavi SG, Hannani M, Ramezani Y. Job stress among the nursing staff of Kashan hospitals. Feyz 2011; 15(4): 366-73. [In Persian].
Rahmani F, Behshid M, Zamanzadeh V, Rahmani F. Relationship between general health, occupational stress and burnout in critical care nurses of Tabriz teaching hospitals. Iran J Nurs 2010; 23(66): 54-63. [In Persian].
Movahed Kor E, Arab M, Akbari Sari A, Hosseini M. Inpatient perceptions of participating in cure decision making and safety among public hospitals of Tehran Medical Sciences University. Hospital 2012; 11(1): 29-38. [In Persian].
Mahmoudi H, Siratinir M, Ebadi A, Tadrisi SD, Taiby A. The study of stress among head nurses in selected hospitals of Tehran. Iran J Nurs 2009; 21(56): 47-53. [In Persian].
Hazavehei MM, Hosseini Z, Moeini B, Moghimbeigi A, Hamidi Y. Assessing stress level and stress management among Hamadan hospital nurses based on PRECEDE Model. Horizon Med Sci 2012; 18(2): 78-85. [In Persian].
Hashemi M, Garshad A. Assessment of job stress in nursing personal in selected educational hospitals of North Khorasan University of Medical Sciences 2008. J North Khorasan Univ Med Sci 2012; 4(1): 95-102. [In Persian].
Cavalheiro AM, Moura Junior DF, Lopes AC. Stress in nurses working in intensive care units. Rev Lat Am Enfermagem 2008; 16(1): 29-35.
Faraji O, Valiee S, Moridi G, Ramazani Aa, Rezaei Farimani M. Relationship between job characteristic and job stress in nurses of Kurdistan University of Medical Sciences educational hospitals. Iran J Nurs Res 2012; 7(25): 54-63. [In Persian].
Torshizi L, Ahmadi F. Job Stressors from Clinical Nurses' Perspective. Iran J Nurs 2011; 24(70): 49-60. [In Persian].
Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: A review of surveys. Qual Saf Health Care 2005; 14(5): 364-6.
Deilkas E, Hofoss D. Patient safety culture lives in departments and wards: Multilevel partitioning of variance in patient safety culture. BMC Health Serv Res 2010; 10: 85.